WACCAMAW PEDIATRIC DENTAL CARE, LLC
NPI: 1225194558
· CONWAY, SC 29526
· 1223P0221X
$515K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,427 |
$338K |
| 2019 |
6,713 |
$177K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,462 |
3,462 |
$120K |
| D0120 |
|
3,734 |
3,734 |
$86K |
| D1208 |
|
4,571 |
4,571 |
$74K |
| D0272 |
|
3,076 |
3,076 |
$58K |
| D1110 |
|
1,143 |
1,143 |
$58K |
| D9230 |
|
687 |
673 |
$22K |
| D0150 |
|
483 |
483 |
$20K |
| D2150 |
|
229 |
174 |
$18K |
| D0274 |
|
322 |
322 |
$9K |
| D2391 |
|
106 |
92 |
$8K |
| D0330 |
|
164 |
164 |
$8K |
| D1351 |
|
202 |
57 |
$6K |
| D0220 |
|
373 |
368 |
$5K |
| D0240 |
|
245 |
240 |
$5K |
| D7140 |
|
50 |
30 |
$4K |
| D0145 |
|
115 |
115 |
$4K |
| D0140 |
|
100 |
99 |
$4K |
| D3220 |
|
30 |
15 |
$2K |
| D2140 |
|
33 |
26 |
$2K |
| D2392 |
|
15 |
13 |
$2K |